Module i3 iCase iStudy iAP1
• Question i 1
1 iout iof i1 ipoints
Alyssa iis ia i74-year-old ifemale ipatient iwho ipresents ito iher iprimary icare iprovider ifor ia
iroutine iphysical. iShe istates ithat ishe ifeels i“quite ihealthy” iand ihas ino icomplaints iother
ithan imild iback ipain. iShe ihas ia ifamily ihistory iof ivarious icancers, idiabetes, iand
iosteoporosis, iso ishe iknows ithat iit iis iimportant ito istay iactive iand ikeep iup iwith iscreenings
iand iannual iphysical iexams. iAlyssa’s iprovider ifinds ithat ishe ihas ilost i10 ipounds isince ilast
iyear’s iexam. iShe iis ialmost ia ifull iinch ishorter, ias iwell.
Alyssa’s iprovider isuspects ithat ishe imay ihave iosteoporosis. iWhich iother itwo ifactors iwould
isupport ithat iother idiagnosis?
Selected A ihistory iof ismoking iand ibeing ipost-menopausal
iAnswer:
• Question i 2
1 iout iof i1 ipoints
Explain, iin iyour iown iwords, ihow iAlyssa’s iloss iof iheight i could ibe irelated ito iher
ipossible iosteoporosis idiagnosis.
Selected There iare ino isigns ior isymptoms iof iearly ibone idensity iloss, ibut ithere iare
iAnswer:
isymptoms ithat ican ibe ifelt iand iseen iafter ithe iaffects iof iosteoporosis ihave
ihad ion iher ibones. iOne isymptom iis iheight iloss, iwhich iis ione iof ithe ibiggest
isigns ithat icare iproviders ilook ifor. iShe ialso ihas iaccompanying iback ipain
ithat icould iindicate ia ipossible ibone ifracture iin ithe ispine. iThe iloss iof iheight
iwould ibe ian iindication ithat iosteoporosis iis ia ipossibility ifor ithis iback ipain.
Reference
Mayo iClinic. i(2016, iJuly i6). iOsteoporosis i- iDiagnosis iand itreatment.
Retrieved iApril i18, i2018, ifrom ihttps://www.mayoclinic.org/diseases-
i
conditions/osteoporosis/symptoms-causes/syc-20351968
i
Respons Great ijob iformatting ithe ireference!
e
i
iFeedba
cik:
• Question i 3
1 iout iof i1 ipoints
Alyssa’s iprovider iorders ia iDEXA iscan. iWhich iof ithe ifollowing iT-score ioutcomes iwould
iindicate ia idiagnosis iof iosteoporosis?
Selected -
iAnswer: 2.6
• Question i 4
1 iout iof i1 ipoints
Why imight iAlyssa’s iprovider iask iher iabout iher idiet? iProvide itwo ireasons iand
, explain ihow ithey iare irelated ito iosteoporosis.
Selected Alyssa's iprovider imight iask iher iabout iher idiet ito isee iif ishe iis itaking iin
iAnswer:
ienough ivitamin iD iand icalcium, ias iwell ias iseeing iif ishe iis iintaking itoo
imuch isodium iin iher idiet. iCalcium iis ithe ibest ithing iyou ican ihave iin iyour
idiet ito ihelp iimprove ibone istrength. iYou ican iget ithis iin iyour imeals ithrough
imilk, iyogurt, icheese, iand igreen ileafy ivegetables. iHowever, iif ishe iis inot
igetting ienough ivitamin iD ias iwell ifrom ifoods ilike, iliver, ifortified imilk,
iorange ijuice ior iegg iyolks, ithat icalcium iwill inot ibe iabsorbed iinto ithe ibones.
iAnother iplace ito iget ivitamin iD iis ithe isun, iif iunable ito iget ienough ithrough
ifoods ior isupplements. iHer iprovider imight ibe icurious iabout iher isalt iintake
ias iwell. iA idiet ihigh iin isalt, ior isodium, icauses icalcium iloss iin iour ibody's,
iweakening iout ibones. iIf ishe iis iintaking itoo imuch isodium, iregardless iof ithe
iamount iof icalcium ishe iis ialso iintaking, iit iwill iaffect ithe iabsorption.
Reference
Ward, iE. iM. i(2008, iJanuary i9). iOsteoporosis idiet idangers i- ifoods ito iavoid.
Retrieved iApril i18, i2018, ifrom
i
i https://www.webmd.com/osteoporosis/features/diet-dangers#1
Respons For ithe ireference, ithe idate ishould ibe i(n.d.) ias iwe ido inot iuse ireviewed
e
i idates i- ionly iactual idates ior iif iit iwould istate i 'updated ion.'
iFeedba
cik:
• Question i 5
1 iout iof i1 ipoints
Explain i how ithe i body i controls i calcium ilevels iin i the i bones i and i blood. i Be isure i to
idescribe ithe iroles iof iparathyroid ihormone i(PTH) iand icalcitonin iin idetail.
Selected If icalcium ilevels ifall ishort iin ithe iblood, ithe iparathyroid igland ireleases iPTH
iAnswer:
i(parathyroid ihormone) ito ithe iosteoclast icells iin ithe ibone ito irelease icalcium
ifrom ithe isurface ilayers iof ithe ibone. iPTH ialso isends ia isignal ito ithe ikidney ito
iabsorb imore icalcium ibefore iit iis iexcreted ithrough ithe iurine. iIf icalcium
ilevels iare itoo ihigh iin ithe iblood, ianother ihormone icalled icalcitonin iis
ireleased. iCalcitonin isends isignals ito ithe iosteoclasts ito istop, ior islow idown,
ithe irelease iof icalcium ifrom ithe ibone. iThe iosteoclasts iare iable ito istart iand
istop ithe irelease iof icalcium ias isoon ias iit ireceives ithese isignals.
Reference
American iBone iHealth. i(2017). iHow ithe ibody imaintains icalcium ilevels.
i Retrieved iApril i18, i2018, ifrom
i https://americanbonehealth.org/nutrition/how-the-body-maintains-calcium-
i levels/
• Question i 1
1 iout iof i1 ipoints
Alyssa iis ia i74-year-old ifemale ipatient iwho ipresents ito iher iprimary icare iprovider ifor ia
iroutine iphysical. iShe istates ithat ishe ifeels i“quite ihealthy” iand ihas ino icomplaints iother
ithan imild iback ipain. iShe ihas ia ifamily ihistory iof ivarious icancers, idiabetes, iand
iosteoporosis, iso ishe iknows ithat iit iis iimportant ito istay iactive iand ikeep iup iwith iscreenings
iand iannual iphysical iexams. iAlyssa’s iprovider ifinds ithat ishe ihas ilost i10 ipounds isince ilast
iyear’s iexam. iShe iis ialmost ia ifull iinch ishorter, ias iwell.
Alyssa’s iprovider isuspects ithat ishe imay ihave iosteoporosis. iWhich iother itwo ifactors iwould
isupport ithat iother idiagnosis?
Selected A ihistory iof ismoking iand ibeing ipost-menopausal
iAnswer:
• Question i 2
1 iout iof i1 ipoints
Explain, iin iyour iown iwords, ihow iAlyssa’s iloss iof iheight i could ibe irelated ito iher
ipossible iosteoporosis idiagnosis.
Selected There iare ino isigns ior isymptoms iof iearly ibone idensity iloss, ibut ithere iare
iAnswer:
isymptoms ithat ican ibe ifelt iand iseen iafter ithe iaffects iof iosteoporosis ihave
ihad ion iher ibones. iOne isymptom iis iheight iloss, iwhich iis ione iof ithe ibiggest
isigns ithat icare iproviders ilook ifor. iShe ialso ihas iaccompanying iback ipain
ithat icould iindicate ia ipossible ibone ifracture iin ithe ispine. iThe iloss iof iheight
iwould ibe ian iindication ithat iosteoporosis iis ia ipossibility ifor ithis iback ipain.
Reference
Mayo iClinic. i(2016, iJuly i6). iOsteoporosis i- iDiagnosis iand itreatment.
Retrieved iApril i18, i2018, ifrom ihttps://www.mayoclinic.org/diseases-
i
conditions/osteoporosis/symptoms-causes/syc-20351968
i
Respons Great ijob iformatting ithe ireference!
e
i
iFeedba
cik:
• Question i 3
1 iout iof i1 ipoints
Alyssa’s iprovider iorders ia iDEXA iscan. iWhich iof ithe ifollowing iT-score ioutcomes iwould
iindicate ia idiagnosis iof iosteoporosis?
Selected -
iAnswer: 2.6
• Question i 4
1 iout iof i1 ipoints
Why imight iAlyssa’s iprovider iask iher iabout iher idiet? iProvide itwo ireasons iand
, explain ihow ithey iare irelated ito iosteoporosis.
Selected Alyssa's iprovider imight iask iher iabout iher idiet ito isee iif ishe iis itaking iin
iAnswer:
ienough ivitamin iD iand icalcium, ias iwell ias iseeing iif ishe iis iintaking itoo
imuch isodium iin iher idiet. iCalcium iis ithe ibest ithing iyou ican ihave iin iyour
idiet ito ihelp iimprove ibone istrength. iYou ican iget ithis iin iyour imeals ithrough
imilk, iyogurt, icheese, iand igreen ileafy ivegetables. iHowever, iif ishe iis inot
igetting ienough ivitamin iD ias iwell ifrom ifoods ilike, iliver, ifortified imilk,
iorange ijuice ior iegg iyolks, ithat icalcium iwill inot ibe iabsorbed iinto ithe ibones.
iAnother iplace ito iget ivitamin iD iis ithe isun, iif iunable ito iget ienough ithrough
ifoods ior isupplements. iHer iprovider imight ibe icurious iabout iher isalt iintake
ias iwell. iA idiet ihigh iin isalt, ior isodium, icauses icalcium iloss iin iour ibody's,
iweakening iout ibones. iIf ishe iis iintaking itoo imuch isodium, iregardless iof ithe
iamount iof icalcium ishe iis ialso iintaking, iit iwill iaffect ithe iabsorption.
Reference
Ward, iE. iM. i(2008, iJanuary i9). iOsteoporosis idiet idangers i- ifoods ito iavoid.
Retrieved iApril i18, i2018, ifrom
i
i https://www.webmd.com/osteoporosis/features/diet-dangers#1
Respons For ithe ireference, ithe idate ishould ibe i(n.d.) ias iwe ido inot iuse ireviewed
e
i idates i- ionly iactual idates ior iif iit iwould istate i 'updated ion.'
iFeedba
cik:
• Question i 5
1 iout iof i1 ipoints
Explain i how ithe i body i controls i calcium ilevels iin i the i bones i and i blood. i Be isure i to
idescribe ithe iroles iof iparathyroid ihormone i(PTH) iand icalcitonin iin idetail.
Selected If icalcium ilevels ifall ishort iin ithe iblood, ithe iparathyroid igland ireleases iPTH
iAnswer:
i(parathyroid ihormone) ito ithe iosteoclast icells iin ithe ibone ito irelease icalcium
ifrom ithe isurface ilayers iof ithe ibone. iPTH ialso isends ia isignal ito ithe ikidney ito
iabsorb imore icalcium ibefore iit iis iexcreted ithrough ithe iurine. iIf icalcium
ilevels iare itoo ihigh iin ithe iblood, ianother ihormone icalled icalcitonin iis
ireleased. iCalcitonin isends isignals ito ithe iosteoclasts ito istop, ior islow idown,
ithe irelease iof icalcium ifrom ithe ibone. iThe iosteoclasts iare iable ito istart iand
istop ithe irelease iof icalcium ias isoon ias iit ireceives ithese isignals.
Reference
American iBone iHealth. i(2017). iHow ithe ibody imaintains icalcium ilevels.
i Retrieved iApril i18, i2018, ifrom
i https://americanbonehealth.org/nutrition/how-the-body-maintains-calcium-
i levels/
